H. JOEL GORFINKEL, M.D.; THOMAS V. INGLESBY, M.D.; ALLAN M. LANSING, M.D.; ROBERT R. GOODIN, M.D.
A 47-year-old man had syncope, periodic ST-segment elevation like that described by Prinzmetal but unassociated with pain, transient left-posterior hemiblock, and recurrent ventricular tachycardia and fibrillation. Coronary arteriography showed 90% obstruction of the right coronary artery; subsequently, he had coronary artery bypass surgery. Studies 6 months after surgery showed graft patency. The Prinzmetal ECG change without accompanying pain is discussed. This finding signifies the same coronary artery pathology as in the classical Prinzmetal angina syndrome and therefore it has the same prognostic implications.
GORFINKEL HJ, INGLESBY TV, LANSING AM, GOODIN RR. ST-Segment Elevation, Transient Left-Posterior Hemiblock, and Recurrent Ventricular Arrhythmias Unassociated with Pain: A Variant of Prinzmetal's Anginal Syndrome. Ann Intern Med. ;79:795–799. doi: 10.7326/0003-4819-79-6-795
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Published: Ann Intern Med. 1973;79(6):795-799.
Cardiac Diagnosis and Imaging, Cardiology, Coronary Heart Disease, Rhythm Disorders and Devices.
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